Individual provider · Type 1 NPI

Jacob David Balca, ATS STUDENT

Student in an Organized Health Care Education/Training Program · Kent, OH

NPI number 1467908145 Active

Practice location

4088 Chapman Dr
Kent, OH 44240-6876

Call (330) 472-6525 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467908145

Jacob David Balca, ATS STUDENT's National Provider Identifier is 1467908145, issued on Aug 31, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kent, OH. The record was last updated on Aug 31, 2016.